Follow-up on corrections·August 18, 2025

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management Visit-Deficiencies on 08/18/2025, stemming from records reviewed and received on 08/14/2025. LPA was greeted by Administrator Leah Ignacio and explained the purpose of the visit. Case Management findings: On 08/14/2025, LPA Ramirez received a copy of resident#1 (R1) physician report dated 07/17/2025, which indicates R1’s ambulatory status is Bedridden . The facility’s fire clearance is approved to serve six (6) non-ambulatory clients, 60 and over. The facility does not have a fire clearance approved for bedridden. The facility is currently operating beyond their approved fire clearance, which poses an immediate risk to the health, safety, or personal rights of persons in care. Per Title 22, Division 6, Chapter 8, 87202(a)(2)-Fire Clearance –(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons. Based on record review, LPA Ramirez will issue a Type A deficiency and an immediate $500 civil penalty. Exit interview was conducted and a copy of this report, 809-D, LIC 421IM, and appeals rights.